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MDX-010 for Advanced Prostate Cancer
This study is ongoing, but not recruiting participants.
First Received: September 13, 2005   Last Updated: August 21, 2009   History of Changes
Sponsor: Mayo Clinic
Collaborators: Department of Defense
U.S. Army Medical Research Acquisition Activity
Medarex
Information provided by: Mayo Clinic
ClinicalTrials.gov Identifier: NCT00170157
  Purpose

A total of 108 males with advanced prostate cancer will be enrolled into this study. Patients must have undergone prostate cancer staging within 180 days of enrollment. 54 patients will be randomized to receive hormone therapy alone and 54 patients will be randomized to receive hormone therapy plus the MDX-010 therapy.


Condition Intervention Phase
Prostatic Neoplasms
Drug: Combination Androgen Ablative Therapy
Biological: MDX-010 therapy
Phase II

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Active Control, Crossover Assignment, Efficacy Study
Official Title: A Phase II Immunotherapeutic Trial: Combination Androgen Ablative Therapy and CTLA-4 Blockade as a Treatment for Advanced Prostate Cancer

Resource links provided by NLM:


Further study details as provided by Mayo Clinic:

Primary Outcome Measures:
  • Primary endpoint will be the proportion of patients remaining progression-free [ Time Frame: 18 months from the time patient receives the MDX-010. ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Monitor the initial prostate-specific antigen (PSA) response which encompasses absolute nadir value, time-until-nadir, and greatest percent decline in PSA (at nadir) [ Time Frame: Duration of study ] [ Designated as safety issue: No ]

Estimated Enrollment: 108
Study Start Date: June 2005
Estimated Study Completion Date: September 2010
Estimated Primary Completion Date: June 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
3 months of concurrent androgen ablative (AA) therapy + MDX-010
Drug: Combination Androgen Ablative Therapy

Lupron 7.5 mg monthly times 3 months (leuprolide acetate)

Casodex 50 mg daily times 3 months (Bicalutamide)

Biological: MDX-010 therapy
MDX-010 3 mg/kg one time dose (Ipilimumab)
2: Active Comparator
3 months of initial AA therapy alone
Drug: Combination Androgen Ablative Therapy

Lupron 7.5 mg monthly times 3 months (leuprolide acetate)

Casodex 50 mg daily times 3 months (Bicalutamide)


Detailed Description:

This trial has been designed to ensure the capture of both treatment mechanism-specific data as well as clinically meaningful data within a relatively compressed study interval. Thus, this trial is constructed around a single inductive short-term cycle of AA therapy.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Histologically confirmed adenocarcinoma of the prostate staged within 180 days of study enrollment, stage with or without metastatic disease, with the exclusion of central nervous system metastases; includes post radical prostatectomy patients with a rising PSA.
  • An initial PSA greater than 4.0 using the Hybritech Assay. For those participants who have received hormone therapy less than or equal to 21 days, a documented PSA of greater than or equal to 4.0 prior to initiation of hormone therapy is acceptable. For those participants who are post radical prostatectomy, a rising PSA is acceptable.
  • Adequate organ function defined as: WBC greater than 3,000; platelets greater than 75,000; total bilirubin less than 1.5mg; transaminases less than 2.5 times upper limit of normal; serum creatinine less than 2.0 mg or calculated creatinine clearance greater than 60 mL. All values must be obtained 14 days prior to study entry.
  • ECOG performance status of 0 2.
  • Patients must be 18 years of age at the time of study entry and able to understand and sign informed consent.

Exclusion Criteria:

  • Underlying other serious medical condition which, in the opinion of the investigator, precludes study participation. This includes immuno-suppressive disease such as AIDS or autoimmune disorders such as multiple sclerosis or lupus.
  • Patients not recovered from major infections and/or surgical procedures.
  • Prior hormonal therapy greater than 21 days prior to enrollment, including estrogens, LH/RH agonists, antiandrogens, or 5-reductase inhibitors.
  • Recent less than 3 months of informed consent usage of immuno suppressive medications including steroids, Immuran, Cyclosporin. Topical or inhalational steroid use is permissible.
  • For participants who elect to undergo the baseline transrectal needle biopsy of the prostate, current usage of systemic anticoagulation therapy, i.e. heparin or coumadin or inability to discontinue aspirin, aspirin-containing products or ibuprofen for seven days prior to the prostate biopsies required for this study.
  • Prior systemic chemotherapy.
  • Prior radiation therapy to the prostate
  • Concurrent malignancy, except for adequately treated basal cell or squamous cell skin cancer.
  • Prior malignancy, unless the patient has been cancer free for five years or more.
  • Uncontrolled underlying medical or psychiatric illness, or serious active infections.
  • Patient unwilling to complete all required follow-up visits.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00170157

Locations
United States, Minnesota
Mayo Clinic
Rochester, Minnesota, United States, 55905
Sponsors and Collaborators
Mayo Clinic
U.S. Army Medical Research Acquisition Activity
Medarex
Investigators
Principal Investigator: Eugene D. Kwon, M.D. Mayo Clinic
  More Information

Additional Information:
No publications provided

Responsible Party: Mayo Clinic ( Eugene Dai Kwon, M.D. )
Study ID Numbers: 1564-02, DAMD17-02-1-0245
Study First Received: September 13, 2005
Last Updated: August 21, 2009
ClinicalTrials.gov Identifier: NCT00170157     History of Changes
Health Authority: United States: Food and Drug Administration

Additional relevant MeSH terms:
Antineoplastic Agents, Hormonal
Genital Neoplasms, Male
Prostatic Diseases
Antineoplastic Agents
Hormone Antagonists
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Urogenital Neoplasms
Reproductive Control Agents
Genital Diseases, Male
Hormones
Pharmacologic Actions
Androgen Antagonists
Neoplasms
Neoplasms by Site
Leuprolide
Fertility Agents, Female
Therapeutic Uses
Fertility Agents
Bicalutamide
Prostatic Neoplasms
Androgens

ClinicalTrials.gov processed this record on February 08, 2010